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Randomized trial assessing the effectiveness of a pharmacist-delivered program for smoking cessation.
Ann Pharmacother. 2009 Feb; 43(2):194-201.AP

Abstract

BACKGROUND

As trained and accessible healthcare professionals, pharmacists are in an ideal position to provide tobacco cessation interventions. Of the 15 studies identified in the literature assessing the effectiveness of tobacco cessation interventions delivered by pharmacists, this is the first randomized controlled trial conducted in the US of a pharmacist-delivered program for smoking cessation using biochemical confirmation.

OBJECTIVE

To assess the effectiveness on smoking cessation of a face-to-face group program conducted by the pharmacist team compared with a brief standard care session delivered by a pharmacist over the telephone.

METHODS

An open-label, prospective, randomized, controlled trial was conducted at a Veterans Health Administration, community-based outpatient clinic in the Rocky Mountain region. Participants were randomly assigned to receive a 3-session face-to-face group program conducted by the pharmacist team or one 5- to 10-minute standard care session delivered by the pharmacist team over the telephone. Participants in both groups were offered either immediate-release bupropion or nicotine patch at no cost. The primary outcome of self-reported abstinence was biochemically confirmed by urinary cotinine at 6 months after the quit date.

RESULTS

One hundred one smokers were randomized from October 3, 2005, to March 30, 2007, with the last 6-month follow-up survey completed on November 6, 2007. Analysis of data was completed in December 2007. Using intent-to-treat procedures, confirmed abstinence rates at the end of 6 months were 28% in the pharmacist-delivered face-to-face treatment group and 11.8% in the standard care telephone session control group (p < 0.041).

CONCLUSIONS

This study demonstrates that pharmacists are effective providers of tobacco cessation interventions. Greater utilization of pharmacists in tobacco cessation efforts could have a significant impact on smoking rates, prevention of tobacco-related diseases, and overall improvement in public health across the US.

Authors+Show Affiliations

Department of Pharmacy Practice, Skaggs School of Pharmacy, The University of Montana, Missoula, MT 59812, USA. larry.dent@umontana.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19193572

Citation

Dent, Larry A., et al. "Randomized Trial Assessing the Effectiveness of a Pharmacist-delivered Program for Smoking Cessation." The Annals of Pharmacotherapy, vol. 43, no. 2, 2009, pp. 194-201.
Dent LA, Harris KJ, Noonan CW. Randomized trial assessing the effectiveness of a pharmacist-delivered program for smoking cessation. Ann Pharmacother. 2009;43(2):194-201.
Dent, L. A., Harris, K. J., & Noonan, C. W. (2009). Randomized trial assessing the effectiveness of a pharmacist-delivered program for smoking cessation. The Annals of Pharmacotherapy, 43(2), 194-201. https://doi.org/10.1345/aph.1L556
Dent LA, Harris KJ, Noonan CW. Randomized Trial Assessing the Effectiveness of a Pharmacist-delivered Program for Smoking Cessation. Ann Pharmacother. 2009;43(2):194-201. PubMed PMID: 19193572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized trial assessing the effectiveness of a pharmacist-delivered program for smoking cessation. AU - Dent,Larry A, AU - Harris,Kari Jo, AU - Noonan,Curtis W, Y1 - 2009/02/03/ PY - 2009/2/6/entrez PY - 2009/2/6/pubmed PY - 2009/7/8/medline SP - 194 EP - 201 JF - The Annals of pharmacotherapy JO - Ann Pharmacother VL - 43 IS - 2 N2 - BACKGROUND: As trained and accessible healthcare professionals, pharmacists are in an ideal position to provide tobacco cessation interventions. Of the 15 studies identified in the literature assessing the effectiveness of tobacco cessation interventions delivered by pharmacists, this is the first randomized controlled trial conducted in the US of a pharmacist-delivered program for smoking cessation using biochemical confirmation. OBJECTIVE: To assess the effectiveness on smoking cessation of a face-to-face group program conducted by the pharmacist team compared with a brief standard care session delivered by a pharmacist over the telephone. METHODS: An open-label, prospective, randomized, controlled trial was conducted at a Veterans Health Administration, community-based outpatient clinic in the Rocky Mountain region. Participants were randomly assigned to receive a 3-session face-to-face group program conducted by the pharmacist team or one 5- to 10-minute standard care session delivered by the pharmacist team over the telephone. Participants in both groups were offered either immediate-release bupropion or nicotine patch at no cost. The primary outcome of self-reported abstinence was biochemically confirmed by urinary cotinine at 6 months after the quit date. RESULTS: One hundred one smokers were randomized from October 3, 2005, to March 30, 2007, with the last 6-month follow-up survey completed on November 6, 2007. Analysis of data was completed in December 2007. Using intent-to-treat procedures, confirmed abstinence rates at the end of 6 months were 28% in the pharmacist-delivered face-to-face treatment group and 11.8% in the standard care telephone session control group (p < 0.041). CONCLUSIONS: This study demonstrates that pharmacists are effective providers of tobacco cessation interventions. Greater utilization of pharmacists in tobacco cessation efforts could have a significant impact on smoking rates, prevention of tobacco-related diseases, and overall improvement in public health across the US. SN - 1542-6270 UR - https://www.unboundmedicine.com/medline/citation/19193572/Randomized_trial_assessing_the_effectiveness_of_a_pharmacist_delivered_program_for_smoking_cessation_ L2 - https://journals.sagepub.com/doi/10.1345/aph.1L556?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -